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What should be studied for DM Medicine 2019?

NEET SS 2019The NEET SS 2019 entrance will be a single exam to get admissions to Super Speciality Courses. It includes all DM/MCh courses including all Private medical colleges/Institutions/Universities and all DM.MCh courses at Armed Forces Medical Services Institutions. The medical Institutions like AIIMS, New Delhi, PGIMER, JIPMER and SCTIMST do not cover admissions through NEET SS for Dm/MCh courses.EventsDatesAvailability of application form08 May 2019Last date of application form submission28 May 2019NEET SS 2019 Exam date28 Jun 2019Declaration of Result15 Jul 2019First round of counsellingLast week of Jul 2019Last date of joining the allotted collegeFirst week of Aug 2019Second round of counsellingSecond week of Aug 2019Commencement of Academic sessionFirst week of Aug 2019Last of joining the allotted collegeLast week of Aug 2019NEET SS 2019 NoticeNEET SS 2019 CoursesSome of the super specialty courses which have fewer seats and have a single common feeder have been clubbed together. The clubbed group of super specialty courses will be treated as one of the purposes of online submission of the application form. The broad specialty qualification and all the clubbed specialties courses will be treated as a single unit for the purpose of online submission of application form. Following is the list of Super Specialty courses which have been clubbed together:A candidate can only opt for only two super specialty courses which are clubbed. Candidates must refer to the official website for information regarding the availability of seats for any super specialty courses.Following are the list of specialty courses and which have been clubbed together:Sr no.Super Speciality courses clubbed together1Cardiac AnaesthesiaOrgan Transplant Anaesthesia and Critical CarePaediatric and Neonatal Anaesthesia2NeonatologyPediatric GastroenterologyPediatric CardiologyPediatric NephrologyPediatric OncologyPediatric Hepatology3Surgical Gastroenterology/G.I. SurgeryHepato Pancreato Biliary Surgery4Vascular SurgeryCardioVascular and Thoracic SurgeryThoracic SurgeryPediatric Cardiothoracic Vascular SurgeryNEET SS 2019 EligibilityFollowing is the eligibility criteria for appearing in the NEET SS 2019 examination:Educational Qualification: The candidates who have a post graduate medical degree (MD/MS/DNB) or Provisional Pass Certificate or a qualification equivalent can apply for the examination.Eligibility Criteria for Foreign Nationals: Foreign nationals who are interested can also apply for the NEET SS 2019. They can apply without MCI registration. The Medical Council of India will provide temporary registration on the payment of the fees for the registration of the Post Doctoral Course. The temporary registration will be based on the condition that the candidate has registered himself with an appropriate authority in his or her own country.Please note:Requests for candidates who are qualifying or are getting the results of their qualifications after July 15, 2019, will be rejected.The candidates if found to be ineligible for the NEET SS 2019 will be not be permitted to appear in the examination.NEET SS 2019 Exam PatternThe NEET SS 2019 will be a computer-based examination which will be held on a single day only. For the examination, a candidate can choose a maximum of two super specialty courses at the time of online submission of application form.Question Paper PatternQuestion PaperNo. Of MCQsTime allocatedPart A4045 minsPart B6060 minsThe part A of the question paper will have 40% weightage of marks.The part A of the question paper will have 60% weightage of marks.There will be a separate question paper for each super specialty course/ clubbed group.Total number of questions will be 100 in each question paper.All the questions will be at PG Exit LevelPart A of Question paperThe questions in the part A of the question paper will consist of MCQs from eligible feeder broad specialty courses. If there is only a single feeder broad specialty course from only one broad specialty, then part A will consist of questions from only one broad specialty.For the super specialty courses having multiple feeder broad specialty courses, part A will consist of questions from all feeder broad courses.Part B of Question PaperThis part of the paper will consist of 60 questions. These questions will be of PG exit level and will cover topics related to clinical practice and basic sciences.Duration of Question Paper: The duration of the examination for the candidates choosing only one super specialty course or clubbed group will be 1 hour and 45 minutes. The duration for the candidates who have selected two super specialty courses will be 3 hours and 30 minutes.Marking scheme of question paper: Following is the marking scheme of the question paper:Sr no.ResponseMarks1.Correct Response4 marks2.Incorrect Response1 mark will be deducted3.Unattempted QuestionzeroNEET SS 2019 Application FormThe application form for the NEET 2019 will be available on the official website only. There is no option of submitting the application form through offline mode. The application process for the entrance examination will start from dates notified by the conducting body. The candidates have to fill correct information in the application form. There are some fields in the application form which cannot be changed after the submission of application form.So candidates must be very careful when filling the form. They must cross check the information filled once before submission. In the registration of the application form, the candidate will get a user id and password which will be sent to the candidate’s email address and on SMS also. The candidates will also have to upload their passport size photograph and signatures. The examination fees has to be paid by the candidate on as well. Without the payment, the registration process will not be complete. At the end of the registration, an acknowledgment receipt will be generated which will be a confirmation of the registration.Application Fee: Rs. 3750/- should be paid through payment gateway, using a credit card or a debit card or through online banking.NEET SS 2019 Admit CardThe admit cards will be issued to the candidate after he or she has been allotted the test center by the NBE. Candidates will be sent the admit cards on their email id’s seven days before the examination. The admit cards will not be sent by post to the candidates. The notification of the issuance of the admit card will be through SMS as well as Public Notice. Once the notice is issued to the candidates, they have to download it and affix their passport size photographs. It must be the latest photograph.NEET SS 2019 Test CentersThe examination will be conducted in various cities. Following is the list of test centers where the examination was conducted last year:At the time of submission of the application form, the candidates will be asked to choose the test centers. The chosen city will be allotted by the NBE to the candidates on first cum first serve basis. Candidates will be able to see the test center allotted to them on the admit card when it gets generated. The test centers will be allocated 7 days before the examination.If the test center which the candidate prefers is not available then he or she can choose the option “Others” from the list of States. In case if the test center is not available due to logistical or other reasons, the testing center of the nearby State will be allotted to the candidate. The candidates will be informed the same by the NBE.NEET SS 2019 ResultThe results will be declared on the official website on the dates scheduled by the NBE. A merit list will be prepared on the basis of the marks obtained by the candidates in the examination. There will be a separate merit list for each Super Speciality courses. The candidates who obtain 35 percentile or more in each super speciality merit list will be declared as qualified.NEET SS 2019 Cut OffThe cut off for NEET SS 2019 will be announced with the result. For now, the candidates can check previous year NEET SS Cut Off from the table below:Sr no.Super Speciality CourseCut of score at 35th Percentile1Cardiac AnesthesiA/Organ Transplant Anesthesia and Critical Care/Paediatric And Neonatal Anesthesia2242Cardiology1603Clinical Haematology1184Clinical Immunology and Rheumatology1955Clinical Pharmacology1486Critical Care Medicine1707Endocrine Surgery2108Endocrinology1909Gastroenterology14210Geriatric Mental Health15311Gynecological Oncology27012Hand Surgery16813Head and Neck Surgery18214Hepato Pancreato Biliary Surgery/Surgical Gastroenterology (G.I Surgery)21515Hepatology19016Infectious Diseases14017Medical Genetics16318Medical Oncology15219Nephrology16020Neuro Surgery15021Neurology22722Neuroradiology/Interventional Radiology27523Onco-Pathology18524Pediatric Cardiology/Neonatology/Paediatric Gastroenterology/Paediatric Hepatology/Paediatric Nephrology/Paediatric Oncology20225Paedriatic Surgery19126Plastic and Reconstructive Surgery13927Pulmonary Medicine17228Reproductive Medicine and Surgery21129Surgical Oncology18330Urology (Gento-Urinary Surgery)16531Vascular Surgery/CardioVascular and Thoracic Surgery/Thoracic Surgery/Paediatric Cardiothoracic Vascular Surgery165NEET SS 2019 CounsellingAfter the publication of the merit list, the counseling process will start. There will be a common counseling for all the seats of NEET SS for 2019. The counseling session will be conducted by the Directorate General of Health Services, Government of India. The online counseling process for NEET SS 2019 will start from the dates scheduled by NBE. The candidates will have to do a separate registration for the counseling process. Also, the candidates have to bring their application form and admit card along with original documents for the counselling process as it will be required till the completion of the PG course. The designated authority for counselling for 50% All India Quota seats will be the Directorate General of Health Services, Ministry of Health and Family Welfare, Government of India.Source: NEET SS 2019 - Exam Date (Out), Application Form, Eligibility, Syllabus

Why do some doctors still think there is no withdrawal from coming off Effexor?

A great and frustrating question with no easy answer, unless you want to simply cry “idiots!”Below are some convenient bulletpoints highlighting individual and colluding factors, though, which I have seen to facilitate this level of ignorance (and, in the course, generally mismanagement, misdiagnosis, mistreatment). Though not exhaustive, they are probably enough to find exhausting, so consider this a spur-of-the-moment 6-part stage play of degeneration rather than an officially authorized biography.1. Poor education. Plenty of doctors rely heavily upon their education and if their education was faulty or dangerously limited, which it usually is regarding the risks of psychiatric drugs, they may genuinely be in the dark. Even in the present day, lectures, textbooks, and drug marketing materials are usually featuring fatal errors rather than providing an acceptable template for learning and practicing. Pharmacists tend to be taught at least a bit more, but pharmacists aren’t the ones making the day-to-day management calls.Now, this education quagmire is partly because almost nobody is bothering to do the necessary research to establish proper tapering protocols and the average incidence and severity and duration of withdrawal. Information available in the medical journals for years or decades only slowly filters into mainstream education programs, if it ever does. But, most professionals are ignoring the most vital data that could exist — the experiences of the patients themselves, in the here and now. What actually worked or didn’t work in real life? What happened when a doctor zigged instead of zagging? Are patients doing better now or are they still reminiscing about the good ‘old days when they could still count to ten without using their fingers?I agree that being so profoundly ignorant is potentially hard in the internet age, especially with ever-increasing numbers of mainstream media stories about the horrors of antidepressant withdrawal (and the predictable backlash against ‘sensationalizing’ the problem by sharing any of the millions of preventable catastrophes happening due to mismanagement). This is a global failure of professionals half a century deep, though, not just a problem situated around contemporary urban practitioners in post-industrial nations. Things like age of graduation and one’s philosophical and political orientation can also influence how attuned a doctor is to antidepressant withdrawal concerns.2. Poor professional ethos. Any good doctor will tell you that a strong education is not enough to prepare you to be a good or even adequate practitioner. It takes more. It takes the personal dedication to continue learning, improving, and taking your lumps. Being good requires being wrong, and doing something about it when you are. It means learning from the mistakes of others so you don’t have to harm patients like another doctor did. It means understanding that your own biases and preferences will sometimes prevent you from seeing the truth about a patient’s concerns.Having a poor professional ethos compounds all the other contributing problems because it obliterates much of the propensity to adaptively adjust one’s strategies, and to be held accountable for fucking things up. Without the actual drive and conscience to do better and to remedy things which stand in the way of doing better, how could we expect doctors to stay abreast of even such monumental issues as antidepressant withdrawal syndromes? At a certain point, scope is not the issue.Or put more directly, if a professional can work, get paid, get published, get praised, and retire just fine while remaining totally oblivious or catastrophically irresponsible in their management of antidepressants and antidepressant risks, what is going to break that fairly enticing pattern? Will failing to acknowledge, understand, and properly address antidepressant withdrawal stand in the way of a fulfilling and well-compensated career as a doctor — even a psychiatrist? Probably only if the realization of that failure deeply bothers someone on a personal level, as the industry and medical dogma and state of academic research are not such that these doctors are getting tossed out on their exploitative asses.3. Willful ignorance and avoidance. It is easier to refuse new information and opportunities to improve than it is to simply pass blindly by all the data and suffering and fallout by pure happenstance. Poor professional ethos? Sure. Being a massive and irreconcilable cock-for-brains? Most probably. But, nevertheless dovetailing with the nature of the industries in focus — medicine, pharmaceuticals, insurance. So much of the market power of these industries relies on perception. To say that none of the doctors drink their own Kool-aid is to say that there weren’t really any anti-Semitic Nazis and that it was all about Making Germany Great Again.The methodologies by which consumers are inducted into the industrial paradigm and kept dependent upon and subservient to outside parties like corporations and economic structures are the very methodologies by which industries maintain their own internal cohesion. There is no great conspiracy by which a hard line exists between patients and professionals and the professionals know all the true truths and stay healthy and live well and suffer not the least bit at the hands of the systems which created the antidepressant withdrawal crisis and remain an obstacle to properly resolving it.Case in point, go read the personal stories of professionals who got slammed hard by antidepressant withdrawal despite all their training and all the assurances issued every step of the way. Many are not saying “Shh! Shh! Hold the line!” They are saying “THOSE MOTHERFUCKERS!” Or, more diplomatically, “Me o my, I was wrong and it appears at least a few other patients out there have been through half a spot of bother with all of this”. The mindsets which support the industries foster willful ignorance and avoidance, including omission through the undue generalization of positive or neutral experiences. But, every once in a while people experience something largely defying willful ignorance or avoidance.4. Self-deception and denial. According to some, there are actually professionals out there who know more than they are admitting. On one hand, this couldn’t not be the case — that is the very nature of industry and holy fraternal societies like the Long-celebrated Brotherhood of Professionals Who Take the Strictly-Metaphorical Hippocratic Oath (usually shortened to "doctors", for convenience). On the other hand, I hesitate to speculate so deeply into the mental situations of random individuals, so when I hear about apologists ‘sounding guilty’ about the bullshit they were pushing and still continue to push, if sometimes in slightly modified forms, I am understandably guarded.These factors I’ve mentioned are certainly powerful, though. Not just economically and politically and institutionally, but psychologically. Sometimes people make bad decisions and keep making bad decisions even when they know they are hurting other people, and even when they, at the very least in theory and on those wistful or vulnerable days, have a conscience of some sort. The extremity of human trials isn’t about how much we can lie to others and get away with it — it is about how much we can lie to ourselves and get away with it. There are accomplished self-deceptionists and self-apologists in every corner of society, from the clergy to the stock brokers to folks patching potholes on the highway.And to a degree, this is another bulletpoint where it can be argued ‘that’s not a bug, that’s a feature’. Compartmentalization makes industry go, and perhaps it makes human beings go, too. So that raises the question of how to identify and defend against professional rationalizations which undermine the ethical and successful execution of professional duties. I doubt we could move the situation forward with shrink-shrinkers — it has been thoroughly demonstrated that psychiatry cannot self-regulate, so it sure as hell can’t auto-self-regulate.5. Lack of accountability. With these troubling absences of internal accountability, we also have a marked lack of external accountability. Collaboration within a field is part of collaboration within an industry is part of collaboration between industries and between industry and government and media. Who is external, anyhow? Well, patients, for one. Despite their own biases, consumerism, and potential blips in education or self-ethos, it is definitional that the interests of patients will diverge from those of practitioners.Fully mutualistic collaboration can only carry either party so far, especially with respect to the industrialization of pharmacological research, prescribing, and management. Our doctors are our consultants, not our best friends (generally, anyhow). The goals, needs, priorities, and position in the relational dynamic inherently differ between doctors and their patients. In some ways, this is often sought after, and is not itself unabashedly a mark of what has given rise to the antidepressant withdrawal crisis. But, the mediation of conflicts, which inevitably arise, is essential to deciding the appropriateness and functional capacities of that relationship.Patients wield only the power to affect doctors and practices that are, by choice or pain of design, open to the influencing of what patients have the potential to control or direct. Patients don’t run the FDA, and could not do so even by showing up to vote in national elections. Patients don’t decide what is ethical and evidenced medical practice, and couldn’t unilaterally rewrite those things with a thousand $1000-an-hour lawyers. Patients don’t determine what all other consumers consume, or how. Patients have only meagre and oftentimes understaffed, underpowered, and obscured options for rectifying professional mismanagement of antidepressants. If people don’t already give a shit, they probably just never will.6. Infinite deniability. Finally, we are reaching a point at which the nature of psychiatric prescribing and other antidepressant prescribing is integral to an explanation. Antidepressants are a special kind of blockbuster drug — their primary uses, including conceptualizations of efficacy, have no accountability to any physical measures. This coupled with the marketing miracle of all potential applications of antidepressants also being potential effects of using antidepressants means any undesirable effects of drug use can be blamed on something else. Usually, this means the patient, in some form or another — “mental illness”, “treatment resistance”, “relapse”, ad naseum. Maybe you’re just female, or a self-important malingerer.Psychiatry has carte blanche to declare any physical problems to be ‘psychiatric’ in origin rather than being medical pathologies requiring the insight of scientific fields like neurology, endocrinology, or gastroenterology. While guidelines like the DSM and ICD insist that “mental illnesses” cannot be organic pathologies and that diagnoses can only ever be labels of exclusion following scrupulous elimination of physical explanations, what this amounts to in the real world of clinical practice is an all-you-can-eat bullshit buffet. There is no potential, expressed or otherwise, for the alleged principles of psychiatry to police the actual practicing of psychiatry.In this respect, almost every doctor recognizes antidepressant withdrawal…a ton of them are just used to calling it by other names, like “latent bipolar”, “relapse”, “somatization”, “stress”, and “normal aging”. This is not limited to psychiatric uses, though, as applications like neuropathic pain, fibromyalgia, migraines, sexual difficulties, and IBS are equally malleable. Using a microscope or endoscope or even a stethoscope does not change the penchant for human beings to see what they want to see, and what they are looking to comfortingly find. You beg to disagree? Well, it must just be because of that “mental illness” in full swing. We really must get you back on those drugs!:: FADE TO BLACK ::

What are some medical specialties' stereotypes?

Q. What are some medical specialties' stereotypes? As in, what do doctors usually say about people who chose X or Y specialty? how would you describe the 'typical personality' (if there is such a thing) of a psychiatrist, surgeon, ER doctor, pediatrician, etc?A2A: Medical Specialties as Game of Thrones Characters | GomerBlogBy Lord LockwellMay 23, 2014As all medical specialties try to gain control of the hospital, we’ve narrowed down who their characters are:Cardiology, you poor tortured soul with a horrible life. Let’s be honest, you got yourself into this.Psychiatry [Ned Stark] – Let’s Face it, most of your kind do not have a good head on their shoulders. (Please tell me you saw season One by now!)Nephrology [Petyr Baelish] – Actually controls everything, fiendishly hard to understand, occasionally insane, and unfixableEmergency Medicine Went in for noble aspirations but you take care of the strangest of the strange. Sometimes your ER seems infested with White Walkers, you are our first defense. Also people love to tell you: “You know nothing Jon Snow.”OB/GYN [Cersei] – Stressed-out queen/diva having all these babies getting in the way of the Iron Throne (OR). You don’t want to run into her on a bad day. Might as well unwind again with a glass of red.Internal Medicine [Tyron] – Quick witted and a strong intellect. Unfortunately you are always dumped on.Nurses [House Tyrel] – Your greatest ally or your greatest enemyMed Students [Arya Stark] – Not able to be left on their own, asks a lot of questions, and will probably stab you with needleThat Nurse on the 4th Floor [Varys] – She knows EVERYTHING, has her hand in EVERYTHING, and pretty much runs the showPlastic [Daenerys] – You look nice, you seem nice… but all your skills are being wasted in a far away land.Neurosurgery [Robb Stark] – Very Noble, but one small error has disaterous consequences. ‘Crippling’ disaster!Hospital Administrators are Joffrey Baratheon. You rule the land, and everyone hates you. You are pure evil. But who will we hate when you are gone?Neurology [Sansa] – You are not the most practical person to have around, but we’re sure you’re lovely.Pediatrics [Tommen] – You are someone easy to deal with.Nurse Practitioners [Stannis Baratheon] – Always fighting to be called Doctor, but no one respects their claim to the titlePathology [????] – Exactly, nobody knows who you are.Well..Pathology [Brienne of Tarth] -You’re at least as well-trained and skilled as everyone else, but seldom get the same respect others do; and you’re a little creepyRadiology [Prince Oberyn] – Who knows what you do in the dark.Gastroenterology [The Hound] – You have a dirty job, but you do it and by-golly you do it well.Hem-Onc [Samwell Tarly] – You know the horrors of white monsters multiplying out of control. Except no one believes you when you say you’ve found the cureRheumatology [Bran Stark] – Your insights are supernatural to most, but no one really knows what to do with themOtolaryngology [Ghost, Jon Snow’s Dire Wolf] – In an emergency you go for the throatVascular Surgery [Ramsay Snow/Bolton] – You secretly enjoy slowly taking little pieces of your patients. Piece by piece.Anesthesia [The Faceless Assassin] – Before your patients get to know you, you knock them outFamily Medicine (Night’s watch) – Some enter nobly, some are forced into it’s ranks, and most come from lands far, far awayBone, cut. HodorThis isn't Game of Thrones. Physicians need to help each other.KRISTIN PRENTISS OTT, MD | PHYSICIAN | MAY 3, 2015Medicine is plagued by a form of prejudice called “specialism.” (Yes, I just made up that word, but it fits.) In medical school we were united; we were all in the same boat; we were a team making our way through the gauntlet together. And then it came time to choose a specialty.A satirical article by “Lord Lockwell” circulated on social media recently called, “Medical Specialties as Game of Thrones Characters.” The runner-up character for my specialty was Jon Snow, the bastard of Winterfell. The justification was this: “Because people love to tell you: ‘You know nothing, Jon Snow.’”Can you guess my specialty?Probably.I practice emergency medicine (EM).The official character selection for emergency medicine was Joffrey Baratheon because, “The entire hospital would enjoy [seeing] you die.”It’s OK. Laugh. It’s funny.But what if we changed it to a race or a sex? Just try it.Not so funny now.Specialty choice is a big deal, and we make it so much bigger than choosing what we like to do. We make it about who we are. We are told to choose a specialty where we feel like we “fit in.” I did that. I chose the right specialty for my personality, but the wrong specialty for my life.As an OB/GYN intern, I realized that specialties are, in fact, just jobs. I had seriously considered emergency medicine while in medical school but didn’t think I fit the type. I would rather stay in a 5-star beach resort than a tent in the Himalayas. I’m not an adrenaline-seeking, black-and-white kind of person, but I liked the job, so I switched.Despite knowing my specialty doesn’t define me, the transition still sent me into a little identity crisis because I didn’t fit the EM mold and someone in power literally told me, “You’re not an OB/GYN anymore. You’re one of us now.”One of us.Us.Them.We divide ourselves into factions. We say, “I am a gastroenterologist,” or “I am a plastic surgeon.” Truly our specialty becomes part of how we see ourselves, how we define ourselves. We go from all being in the same boat to separate ships navigating the same long hours and heavy responsibility with less togetherness.I saw another article on generalizations about physicians by specialty called “The 30 Types of Doctors You Went to High School With.” Ah, high school. Kids. Cliques. Adults are so above that kind of behavior — oh, wait. The halls of the hospital are lined with chart racks or computer cubbies instead of lockers, but packs of grown-ups all dressed alike still round together and are not above making comments about the “other” group down the hall wearing neckties or surgical scrubs.I don’t think the general public is aware of how we judge one another. As people who generally revere knowledge and intelligence above all, status climbs with duration of training and competitiveness of the match. Plastic surgery, ENT, and dermatology held the top three spots for board scores of matched applicants in 2014. Our colleagues who choose highly competitive residencies secure a lifetime of acknowledgment of their cerebral prowess. This creates unfortunate pressure to choose more competitive residencies (because you can) and also the kind of bias (specialism) that leads to unfounded assumptions about our colleagues who choose less competitive fields.Physicians are judgmental people. Within seconds, we judge our patients’ intelligence/educations levels, we judge their authenticity/theatrics, their honesty/dishonesty. We judge their emotional stability/psychiatric soundness.These subjective judgments are often supported by objective information like, “This guy is totally crazy because he just peed in the corner,” or, “Those are alligator tears because I’ve seen this lady’s narcotic record, and she was asleep when I walked in the room.” Judgments like these can help us do our jobs when time is limited, but using the same kind of snap decisions about each other is unfair and harmful.It only takes one time for a colleague to be wrong about something for us to think he isn’t very smart. It only takes one time to hear someone be impatient with a medical student for us to think she’s a total bitch. We don’t give each other a lot of grace and “specialism” doesn’t help with this.It is, I suppose, a very human thing to identify with a group and feel superior to other groups because of it. Specialism says, “That pediatrician didn’t even know the difference between a pilon fracture and a bi-mall fracture.” It takes specialized knowledge and uses it to diminish others. But I have seen the most secure orthopedist suddenly insecure about treating a DVT in a pediatric patient. I hear internists deride surgeons for their inability to handle “simple” medical conditions suddenly uncertain about the management of “simple” pathology on an abdominal CT. We need each other.When I call you about a patient in the ED, what I’m really saying is, “Help! I can’t do this alone! Help! This person needs more than me.”It doesn’t mean I’m stupid or lazy, or give you any right to laugh at the idea of enjoying my death. Specialism is different than racism or sexism because there is some choice involved, but it is not the kind of choice that justifies a lifetime of shallow assumptions. The best way to fight all forms of prejudice is always to make it personal. If an orthopedist becomes a friend, he is no longer “an insensitive jock.” He’s Dave.Face-to-face conversations are a good starting point. They help us see each other as people. Because in the end, I’m not an ER doctor. I’m Kristin. I am the mother of two pre-schoolers. I like Game of Thrones and dinners that feel like events.Even if we don’t have parenthood or outside interests in common, we have a lot in common. At one point we all convinced admissions personnel that we cared about people, that we liked helping people, and for most of us it was easy because it was true. We were all in the same boat once. Remember that? We may have left the short white coats behind, but we’re still on the same team.Our jobs are hard enough; why are we making them harder by being hard on each other? We should want to help each other! Our patients aren’t the only people worthy of compassion and respect. We’re people too. Remember?Kristin Prentiss Ott is an emergency physician who blogs at her self-titled site, Kristin Prentiss Ott.Image credit: Shutterstock.comTAGGED AS: EMERGENCY, OB/GYNThe 30 Types of Doctors You Went to High School WithAUTHOR [email protected] DATE September 22, 2014For better or worse, doctors come in all shapes and sizes, with different personalities and backgrounds. Not every doctor was a straight A student or even had the idea that they wanted to become a doctor yet. Little did you know, that unassuming student from your high school got his or her act together, buckled down, went to medical school, and is now a physician. Oh, you don’t remember who they were? You will. Here are the 30 types of doctors you met when you went to high school (in alphabetical order). Beware of puns.AnesthesiaSometimes you looked out the window and watched these guys sit comfortably outside the high school’s bubble of stress. They always had a smug look on their face without a care in the world. They always looked tired, but you wondered why, as they never seemed to do quite as much work as everyone else. You heard rumors that they were pushing drugs, but what went into their airway was their own business. You hated them, but really, you were just jealous. When push came to shove, they would show up to every test and ace it. They walked out of every test early, and you would hear their music blasting from outside. Thus, their music choices eventually became the soundtrack to your work environment.CardiologyThey never seemed quite approachable because they always seemed to have an aura of prestige pulsing through them. They wore nicer clothes than you, their houses were bigger, and they drove nicer cars. But yet, you frequently interacted with them and knew they worked hard, despite living in wealth. Most of them seemed weighed down and congested by the expectations floated to them by their distinguished predecessors. Reputation was everything, so they were frequently monitored. Later, they would rebel and get into trouble, causing a great deal of expensive heartache. Nevertheless, their cash flow seems to be guaranteed for life.Cardiothoracic SurgeryFor these evolved bodybuilders, their focus and strength was solely directed at the chest. Their training involved years of exercises that would crack the chest open of a normal human being. They specifically needed to work as part of a squad, as every chamber and valve of the team would come apart if they didn’t move in synchrony. You would see them fly by on the river waters, and noticed that instead of just floating the path, they went straight for the most aggressive techniques to win. A truly well-trained machine, with heightened awareness and carefulness, as they heard over and over in their head “stroke, stroke…”Critical CareThese students generally carried themselves like they were functioning on a higher level than the rest of the student body. While other students were gossiping or talking about trivial things, they were debating the truly critical topics of the day. Intensive debate seemed like code for them to vent ego. As they frequently had to interact with numerous peers with differing views, the arguments and egos ran rampant. As the debates crossed the central line of the room, the tension would drip with each pressing issue. You sat there wondering why they took everything so seriously, but came to realize that these would be the leaders of tomorrow. In the end, they would be the only ones strong enough and loud enough to care and actually make a difference.DermatologyYou can’t really say much about these people, because you weren’t even sure that they went to your school. You saw them years later on reality shows and they claimed to be from your town and high school, but you can’t even find them in the yearbook. They appeared to exist in fairy tales, that there were teenagers your age who, instead of going to school, got to hang out all day in their mansions, travel the world, and skip the entire process of misery. You wanted to hate these people, but you never met them, and you don’t know anyone else who knows any of them either. The legends of their perfect lives continues, as the jealousy continues to seep down into your pores.EndocrineA rarely understood group of teens that were mostly harmless, but would talk way too much about their bizarre interests when engaged in conversation. When you made a casual comment about the weather, they would respond with a long-winded and complicated lecture about the changing climate axis and its effects on several levels of the biosphere. While you agreed with their initial statement, you could not keep up with the conversation after about 5 minutes. When you bought your computer, they said that they had known about that nodule before it was cool. You wondered about their coffee consumption, but they assured you that if they did add any sugar, it would be EXACTLY the right amount.ERFrequently looked down upon and criticized, these apparent trouble-makers always seemed to be in pursuit of a curbside adrenaline rush. You would occasionally talk to a few of them when they showed up to class, and they seemed cool. But in their element, while boards were zipping back and forth, you learned to stay out of their way. They were the kids you weren’t supposed to associate with, but they came to you for help because they missed class. While you shook your head at their supposed ineptitude, you respected them for their ability to rise above the stress of high school and to just enjoy life, with all its scrapes and bruises.Family MedicineYou always looked up to these guys. Selfless, nice, and helpful. They spent a lot of their free time doing charity work, despite the ever-increasing demands of high school life. You wondered why, as they had long-past fulfilled their community service hours. You felt bad for them sometimes, as they never quite got the recognition they deserved. While the athletes and hardcore students moved onto bigger and better things, these guys were only rewarded modestly, and never much more. You eventually concluded that they did everything out of their goodness of their own heart. You look around nowadays and realize there seems to be a shortage of these noble people you knew in high school.GastroenterologyIf you don’t want to get burned, then don’t mess around in their kitchen. With what started as a casual hobby has turned into an obsession for these people. Only concerned with what goes in your mouth and out your rear end, these food fanatics turned their work environment into an arena, as if they were athletes. They arrived with precise dedication to their job, but a generally laid back outlook on life. It was an interest you wish you could had taken up, but just didn’t have the stomach and patience to go through the learning process. You always wondered how they managed to focus despite the distracting aromas of the workplace.General SurgeryIf you really had to talk to someone from this group, you thought long and hard about it first. Only a select group of teens were “in” with them; everyone else existed outside. They were very particular about who could hang out with them. If you were too short, you’d get cut. Granted, they were busy people, and their lives extended far later into the day and evening, when school had long finished and you were already three hours into watching TV at home. They existed in several of the social circles listed here, making tensions run high just by their very presence in each group. They seemed to be good at everything, but honestly, they did work hard at it. You just wished they generally weren’t such jerks to everyone else.GeriatricsYou wondered what all the rush was about with these guys. They hung out with people way older than them and appeared to lose touch with their own teenage crowd. After school, they had office internships and jobs. You later came to realize the genius of their strategy. They started early and knew the money making crowd was well above their years. While everyone else was struggling after high school had ended, these young interns-turned-entrepreneurs already had a foot in the door. The market was ripe for the picking and they grabbed it, while the rest of us were just hanging out. Safe to say, they are retiring happy.Heme/OncThe noblest of the noble, these hearts of gold frequently went out of their way to personally help those in need, and never really asked for much in return. You never wanted to inquire what made them choose this path, but you could always tell it was out of genuine selflessness. They were bleeding hearts and seemed to only care about making a difference and helping other people. You wondered how frustrating it would have been to mentor a troubled or sick child. You then think about how little you have done for the community and humanity yourself. Then you feel like crap.Infectious DiseaseThe only thing they really loved more than science was the chance of discovering a cure for something, and the possibility that it might be the weird little Petri dish in the palm of their hand. You wondered what the big deal was. Whenever you looked into the microscope, you just saw blobs and circles. But to them, it meant everything, and it meant that disease could be gone forever. You always regarded that enthusiasm with caution, as you frequently worried about the possibility of a zombie outbreak. In their defense, they truly did have a burning desire to help people who were actually sick, and you thought that was kinda cool.Internal MedicineAfter you got to know each social group, you wondered if you needed an eccentric personality just to survive high school. Then you met these kids and realized that its okay to be normal. These were your friends, at least for awhile. Over time, the pressures of high school and the allure of joining fringe social groups was too enticing. You watched perfectly normal people completely change their internal personalities into something else. Which wasn’t always a bad thing. Some people never really changed, and you wondered if personal growth was actually the whole point of high school.NephrologyYou knew the stereotypes, but you also knew that these were masters of their field. They were athletes of the mind. You sat down with them for a game, and before you knew it, it was already the end stage for your pieces. You felt like a failure and never really played the game again. They were the silent geniuses who were walking number crunchers and enjoyed the thrill of turning the people on their board into specific mathematical values to be strategically managed. They were cold and calculating, always aware that they knew more than you did, but generally willing to give advice and assistance if you ever needed it.NeurologyYou always felt bad for these guys, but then you realized they sort of brought it upon themselves. With a blatant disregard for contemporary fashion, especially when they wore bow ties, these guys were never taken quite seriously. You were never so narrow-minded to think so, and recognized their endless hard work and intellect. They used big words and spent more time and care on exams than everyone else. They actually seemed to like the concept of testing, which to this day still baffles you. Sometimes you wished you could scan their brains over and over again to see if something was wrong, or continuously check how they function to determine if they were really human.NeurosurgeryOverachievement has its price, and its usually paid in the currency of weaker students who happened to get in their way. These alpha high schoolers had limitless brains and you wondered if they ever slept. They would be found in several of the social groups listed here, not just as a member, but ruling the group as head. These curiously motivated youngsters seemed to dominate every task just for the sake of dominating. They kept a firm hand at the top of every field, and would be quick to act if there was ever a shift of the midline status quo.OBGYNIt would be unfair to say that these girls were mean to you, because, really, did they ever even talk to you? You can’t remember, but you do remember quickly decelerating early on when they were nearby. They seemed to spread open any cluster of people when they walked by. Rumor had it that there was some kind of initiation process for any new members into their clique. You remember seeing the messy process of pulling new life into the hostile environment of their social circle. It sure was messy, and you never really wanted part of it, so you stayed away until you really needed them for a grave favor. But when push came to shove, they always got the job done. They set the trend for which the rest of high school life followed.OpthalmologyYou never really talked much to these guys either, but were completely lost when your stuff malfunctioned. They had physics and technology down, and they were your go-to for tech help. They would joke with you “can’t you read” the instruction manual. Just some minor adjustments and it looked easy. Then they disappeared behind their complex machines, never to be heard from again, until you needed new main frames. Later in life, you heard they were doing some complex stuff with lasers. You don’t understand a word of it, but you think lasers are cool.OrthopedicsNo other group at your schol was ever more focused on one thing, except for these guys. Endlessly tweaking every muscle, tendon, and joint to perfection, these guys were unfairly stereotyped. The demands of the sport required long hours of training, and because of this, people assumed their academic priority was reduced. But you remember them as being hardworking and smart in the classroom as well, so you ignored the smell of gym socks and body odor emanating from their seat down the aisle. You recognized them as teenagers working just as hard as anyone else, if not more. You always thought that what they did was cool, with all the blood, sweat, and bones breaking, but then figured you were too scrawny to hang out with them anyway.OtolaryngologyFocused and dedicated, you remembered these young virtuosos carrying a bag or case with them wherever they went. Their scope of expertise lies in the mastery of their instrument, and it never left their side. Day and night, these young geniuses worked tirelessly to create a masterpiece for the ears. You once heard one of their breathtaking performances while you were sitting in the nosebleed section of the theater, and the symphony hit you like a rhino. You didn’t just hear the melodies, you felt like you could smell it and taste it.PathologyThen there was this group of strangers. They were always found buried face deep in some obscure historical text or collecting rocks from the football field. They were loners with bizarre interests. You never really had a conversation with them, but you would secretly glance over to their table at lunch, curious to see what they were so entranced with. When you finally did get a glimpse of whatever they happened to be studying, it was always something weird and disappointingly not very interesting. To each his own, you told yourself. Years later, you discovered this person’s name in the news as a Nobel Prize nominee.PediatricsLife seemed like a fun ride for these guys in high school. You would hear them singing, dancing, and having a great time. But of course, it was a lot of hard work, while also balancing their academic life. Unfortunately, this usually did not lead to a life of high salaries for them in the future. Moreover, the current paradigm seems to be more focused on making the audience happy, instead of focusing on the art itself. So while the stress of putting on a performance has increased, the they earned less and the quality of the show has also declined. But they did it for love of the art, and for the tears and laughter they would elicit from the audience. Who knows, some of them might have gone on to become famous, receiving awards, and acknowledging the little people that made it happen.Plastic SurgeryThey don’t look like the celebrities on TV, but they were definitely trying to be. These misguided wanderers usually did it for the ladies and for the fame, neither of which came to them at first. You watched them grow over time, at each talent show getting better and better. Over time, they turned a hobby into an art. So with dedicated practice and meticulous care, they became bonafide hometown heroes in their own right. The ladies began to swoon and they eventually created their own dedicated fan base. The groupies showed up regularly for a lift when their mood was sagging, and all other competitors were burned. You were proud of them for turning what looked like a lost cause and making it into something quite beautiful.PsychiatryThere was something fun and quirky about these guys. You frequently tried to hang out or talk with some of them in secret, just so you could get a glimpse of what was going on in their weird heads. When you did get a chance to talk to them, they seemed to live and function in a completely different world, and you thought that was really cool. They spent most of their time playing online role-playing games or dressing up for pseudo-historical recreations. In secret, you signed up for one of these once, and they were able to meet your hidden alternate personality. It was refreshing to feel secure and use your imagination, but eventually, hanging out with them kinda creeped you out. They took it way too seriously and you stopped hanging out with them after they tried to cast a hypnotizing spell on you while you were eating lunch.RadiologyYou weren’t sure if these guys were supposed to be disparaged or feared. They were a mystery, and you never went out of your way to get to know any of them. They would occasionally speak up in class, however, and you remember that they would be extremely insightful. They looked at the world much differently and would notice things that no one else would. You concluded that they were unconventionally very intelligent, but just never quite correlated with the rest of the student body. You never saw them much though, as they spent most of their time hanging out in the dark.RheumatologyYou saw these auto-masochists run by every once and awhile. You wondered what would compel them to make a joint decision to run together for miles and miles every single day. It must have taken a remarkable amount of modulation to endure such a long and slow process. You could only imagine how their joints and muscles ached towards the end of a 20-mile run, but perhaps they were the only ones in the room taking steroids.The AdministrationThey had your vote, and during election season, they seemed to be your best friend. Then you waved to them in the hall and they looked at you like you were a new foreign exchange student. You realized that the entire election process was more or less a popularity contest, just sanctioned by the school. They passed a few non-enforceable rules like gradually decreasing the amount of time to get from class to class to increase efficiency, making students’ grades directly reflect parent satisfaction scores, and indicating that students are not employees of the high school and therefore have absolutely no human rights at all. You never really heard from these apparent elected officials again until they gave speeches at your graduation. You sat there at graduation and wondered if politics in the real world was the same thing.Trauma SurgeryThe quintessential high school heroes. These guys were the heart of the student body, the soul that bound every social circle of the school together for one common cause. During the most critical games, every other high schooler’s accomplishments paled in comparison. They were simultaneously the celebrities you cheered for, and the jerks who laughed at you for a GSW (got a super-wedgie). Either way, they were the ones who got all the money and attention, as it was their success that elevated the level of your institution.UrologyYou always wanted to play the sport with them, but after trying to watch and play a few games, you realized it was a lot more monotonous than it initially seemed. Besides, the idea of getting stones stuck while diving around the mounds wasn’t your idea of a good time. You played a few times with your friends, but one time you got hit with a stray ball and lay prostrate on the ground for the rest of the day. Groin and head protection was their motto. They loved the sport, even though some games seemed to retain for hours and hours. Either way, you got along with these guys, even though you didn’t quite feel like catching balls all day.Disclaimer: Images for this post have been obtained through public web searches with care not to include any identifying or personal information. No copyright infringement intended. If the photo credit or likeness of these photos belongs to you, please contact this site and the photo will be taken down immediately. We apologize for any privacy intrusions, personal offense, or any other issues this may have caused. 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